AssessmentsBody dysmorphic disorder
Body dysmorphic disorder
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 12-year-old girl is brought to her pediatrician's office because of an elongated nose. She reports that her nose is too big, long, and ugly. She describes it as "disgusting" and is obsessed with getting a rhinoplasty. Her parents state that she has been harassing them for months for the operation and constantly checks her nose in the mirror. The patient states that she cannot sleep at night and spends hours looking over fashion magazines. She says that she cannot stand the sight of her own nose and will try to break it if her parents will not pay for her rhinoplasty. Head, ear, eyes, and neck examination shows an average sized nose with no obvious functional defects. Which of the following is the most likely diagnosis?